| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.39 | $10.39 | $10.72 | |
Aetna
| Professional | $6.10 | $10.39 | $11.00 | |
BCBS
| Facility | $11.00 | $11.00 | $11.00 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Cigna
| Professional | $5.09 | $5.09 | $13.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $3.53 | $5.86 | $10.14 |